HomeMy WebLinkAboutBuilding 06-0242
(llerfifirafe of Ql}rrupaury
CITY OF PRIOR LAKE
~~parfm~nf of ~uil~ing Jfnsp~rfion
,0 Final Permitted
o Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification :.5"; /I/GL L /-/1 /"! / L V Bldg. Permit No. C ( . (" z -I- z-
Occupancy Type _ )?~) Type Construction VIII , Zoning District /'-;: I;;' LJ
Legal Description L I L: / _ )It.' IC/ Ii) G E t'jj IV L.; I Air;
Owner of Building Site Address "'ll Z;' /It ~:~/ 771 C; t.' /;.,.;(/.
Contractor'sName&Address j-IL IloF/t3.::5, {(-()() FI';;,4'-/A/cE /1..[.5., 1:.7)111.//'-1
/
A: (J,:; E-ICT (...J. Hf /'FCI--J INS'
Building Official \.
_ City Planner
JI7 / j C leA "j.J/ 6..--~
Date:
'I ;;
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
40aQ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
g, INSULATION
fr-fINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
#eri~ 1 IA
() - - -
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
_ 1\ .!) ~ 17
( \ {_~" ~ () ( ~J..-,
'- \ V d"'-- J \.A.-.-- rv I'--'
#
TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SAT!SFACTORY, PROCEED
o CORRECf7IN D PROCEED
o CORREC WO ~LL FOR REINSPECTION BEFORE COVERING
Inspector: . _ I Owner/Contr:
CALL ~7-~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4{)L-4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~LATION
~INAL
o SITE INSPECTION
COMMENTS:
".....,'.
(!)werc.
"' P'-'.C>((
rOd~ C-&?,/?~
")
1~~/? i./k/-,/
SCHEDULED
DATE TIME
7~
! --h-, -h If. --" L~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
I"'C~.J)JT c-1
fo-I-d
C.~ l-C-I L
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
OIUWlb,~
, ,
o WORK SAT!SFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FQR REINSPECTION BEFORE COVERING
Inspector: t
"
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE 7 - ~C%
INSPECTION NOTICE SCHEDULED
ADDRESS 4 r.Jt, t( fkrh,-, U-...
v
OWNER CONTR.
PHONE NO. PERMIT NO. f:r2-4L
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~
(j) ,rlJllJa4
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOO, ~UP FIREPLACE FINAL
~LUMBING F GASLlNE AIR TST
_ECH F~
L/
(()Jf~45
.,
~WORK SATISFACTORY, PROCEED
o CORRECT ACTI~N ~OCEED
o CORRECT ~!T FOR REINSPECTION BEFORE COVERING
Inspector: I. Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main FI-Ie]
White File
Pink City
Yellow Applicant
(Please type or print and sil:n at bottom)
ADDRESS
it b2 q
#8J IItf/i LAIJ 2
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK / ADDITION
OWNER
(Name)
. -Date Rec' d
APR 0
1; ,.... ....,"'
< )
PERMIT NO. Ot;7. 24-2- I
ZONING (office use)
te/5D
PID 25\425, (}03, lJ
rflp,f).pfff)lJ D8tit.oP A/I~J; I
bFon F(AI.Jt,c AJ[, S ef)JJJ/t-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Phone)
MJ/
55-'135
ffl fIOVI eS.
j) &All A1ft6C1\ J
~ PHrJlIi-C
(Phone)
(Phone)
-SS it-35
(Address)
L.t.L
/Ju'"
!7'fI L
.s
. GflJUr . AIV
?3Z z..~2. ()b/h
YS2. 25'Z- ti,/h
hrZ.3t3, '-/)3 r
.
TYPE OF WORK J!!fNew Construction ~eck .lBPorch ORe,Roofing ORe-Siding ~ower Level Finish ...E%VFireplace
OAdditlOn o Alteration OUtility ConnectIon
CODE: ~.R.C. OI.B.C,
Type of Construction:
Occupancy Group: A lB
Division:
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Misc
I
E
III IV ~ ~ B
HrI,. M S U
2 \3) 4
PROJECT COST IV ALUE $
(excluding land)
205- 157'16
/'
II
F
I
U(~~b3~Z-
Contractor's License No,
II
'12051 ~OO ,01)
$ I' aB3 ' 5'0
$ 10"'1. 2-8
$ l oi... 50
$
$
$
$
$
Park Support Fee
SAC
W ater Mete~i; 5.0~ 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
100. Q 0
IOO,E)ca
~S.<$;"O
L.f.O. D 0
TOTAL DUE
I hereby certily that I have hlrmshed mformation on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authOrized agent for the
above-mentIOned pr 'rty and that all constructIOn Will conform to all eXlStmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
oftlcial can revoke I permit for Just cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspectlOns
n~ t/h.'--
Signature
This Application Becomes Your Building Permit When Approved
~- ,. ~
~Id'-'I
13111 II1g OIIlCI<l
1//710 ~
Date/
Paid
Date
5--3/-()6
Date
#
#
$
$1550,00
$ 2'50. QI()
$ 50,80
$ 1500. Of)
$ l 0 00 . 00
$ ..
$
$
#
#
Receipt No,
By
ThIS IS to certify that the request in the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes a temporary Certiticate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
Issued /1 // ~
~anning ~8tor
~-/r-t%
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
------------.- .
110&.02-4- 2-
White - Building
~anarv _- Englniir~
PinK - I"lannlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
II L, ffOl1 ES
4r500~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
40 Z q ffp;l0It fl ~ 6 uJ.
/ I
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/~
~e. /YIc"r. F,O/(
Date: Lj-/3 '06
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~
tO~\
u ~)
~NE50Y
See NIall. '~~r'e
White - Building
~ Engineering
\.... Pin~ - t"lanm!!SiP
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I ' i
./ {-'
APPLICATION RECEIVED
, t
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l...,..-
'--- / '.j ,
Accepted
Accepted With Corrections
x
Denied
Reviewed By:
/~~x .
- ~~,..;_ ,/' e.k.s L
Date: ~-/~,..O""
~c.. ~ &- 64- i','ck
Comments:
rk>t:: S-C-une
SeeIVlalll File
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CH~CKLlST
NAME OF APPLICANT
J-I t- f/{J11 &5
4.5.0&'
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4,{) zq !-Ir;RATAq 6 LN.
I I
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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MAY-10-2006 08:49
CITY OF PRIOR LAkE
9524474245
P.04
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
~~:. ~;~. I PERMIT NO.L %'.... '7
1. Yol/",Y ^ppll."" " . T~
(Ple~se t~pe or prlllt 1It1<! Sillll ~t hallam)
ADDRESS
1.-10 ~ q }/eY/-fa.qc {/lrlt-
I LEGAL DF..$ClUr'TION (office uS\! ol1.ly)
ZONlNG (otlit;e
I.l'e)
LOT BLOCK
PID
ADDITION
f-+ ames Q'none) q5;.,. ;;6;;. - 0&-35
(Address) {;too hvu1ce, &~ 4J n~ [d(na. MN 65436
OVl'NER J I I
(Namel- if'L..--
APPt.ICANT (' ".' '1) qr-...... -7' -"} 1000
(Name) l,dQ)1. ~ k..l j (1.111 (phone) ')(J\ - L(J ~ ~. ..'
(Addre.%):;,;;JLO l,)J. t-tU.JL;1 I/~) Buyncsvi j Ie '::.f5?/)"7
(Addl'es.t) (Ory) (2'.11' Cock)
(Contact Person) k I ~ (Phone) Q6.a-7w7- {()OO
APPLlCANTStGNATURE I~ fir..M.A.Jl.h _ DATE 5/4 lOw
. - APPUtAr PLlLASE COMPLETE BELOW
~NEW CO~S~UCTION 0 REPLACEMENT 0 AJ.. TERA T10NS
FURNACE MARE AND MODEL .LfJ)f)OJ, &?if) U I:.J.::!jrC-li.() FUEL/YJi 4.a~___
FLU13 SrZE RETURN OPENINGS /0 INPUT L/ OJ om OUTPUT ff: aJJ
TYPE OF SYSTEM HEATING OR POWER PLANT
i.~ar~ Air PJalll~
In\\'lty
MuhnniClll
ir Conditioning
L.OIll. S)'SlClll
PLtEASE NOTI~:
Air CClndilioncr Units
Cllnno1 EncrOAch into
Required Side Yarel
Se1bllc[cs
o Steam
o Hal Water
o Radialion
o Spccial Devices
o Other Devices
FIREPLACE MAKE AND MODEL
.._~.._.
FEE SCHEDUI",E
Ind\lSlrial, Commercial &. Multi-Fomily l % of job cosl Rcsidel1li~l, GIIS Fireplace
$39,50 minimUIl'l
Re!idential. Healing & Ale (New COMtl'\lcljOI1) f99.S0 ResidentIal, Additions &. Alterations
Re~idetlti31, HUlin& Only (New COlls[l'\lclion) S64,50 Re~idenliRI. AC Dilly
.$39,50
,\;39.50
m.so
Estimated Cost $ _
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERM1T FEE
Building Permit II
$
S
s
PAID WITH
.5tF\U'lD'NG PERMIT
(Oflic~ Use Only)
This Application necomes Your Building Permit When Approved
I Paid
I Dare
I Receipt No,
I By
nuildinll Offiei~l
DUe
14 llOUt' notiee lor nU iIl5[lcct;on~ (952) 447-~8S0, fu (952) 447-4245
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CITY OF PRIOR LAkE
9524474245 P.D7
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\1IT
~~: ~~1 PERMIT NO.L. . "4. t7
l, ydl.... Al'I'li..." " ~T ~
(!'ll!a!l! type 07 print ~d ~i~ at bDttom)
AD40~ q Htvi mar;
LCU1{
ZONING (office use)
oJ
LEGAL DESCRIPTION (offie~ vse only)
LOT BLOCK
ADDITION
PID
OWNER II L
(Name) n
(Address) {.RiM
HOtv\lS (Phone{1f)~~a5a- 0&35
J-:VaJ1(!L Ave.. ~.- -# 17 r '-f[JiJ1~ MN EEL/35
t~
APPUCANT fl_ , n.
(Name) Cl e/E - ~"J th1
(Address) 21-00 \N. [1\'\J (A
(Address) j
(Contact Person) tel hi
APPLICANTSrONATURE, ~
[..?
(Phone) or C;~ - {(/71
f>il)lJ1c:.V I' {ie" M N
(City) (Zip Code)
(Phone:) ~5~-7(;;7- I Q()D
DATE (F/ a lOb
1000
~3S7
Ru,~
L...-
APPLICANT PLEASE COMPLETE BELOW
QuantHy Type of X.'ixtuI'e I Qu:ultity
'2 Bath Tub with or without sbower I
) I Disln>Jasher
I I Floor Drain
'-t Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Showe,[ Stall
I Sinks
Bar Sink
8 I Water Closet (Toilet)
Type of Fixture
L
Rough-ins
J Water Heater
) I Wator Softner
Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
i Other
FEE SCHEDULE
InduSlriftl. Commercial & Muhi-family 1 % of job cost with a $39.50 minimum Residential, New One &. Two-family ~99.S0
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
~ID WITH
tsOft.blNG PERMIT
(Orr.~e Use Ollly)
r This Application Decomes Your Building Permit When Approved Paid
Date
I Receipt No.
By
Building Official
Date
24 hour notice for .UlrupectioDs (952) 447-9650. fax (952) 447-42045
TOTAL P.D7
CITY OF PRIOR LAKE
9524474245 P.05
D'(~,~Jd
IlE'-" ,
, TY1\>;(,~
'. 1'.l'.1'" ...".til:,
I. .1,.10
2., QoellJ
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fll~ ::~ T~~~' ~~
.f1IYJ. "&~' , ' J."~' J '
"~)~li~ . .. . .
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, ,I ~. ~~ .. " Z~~a'.(oIRc:e:Ut~
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CPl<<Ul!:~e,o~~Uild.'~m:\-t~~. d. .: " ;'. ~-
A1Ji:>R'8:SS ", ....,.. ',' =1.. "
L-f' "0 \ \ "'~'tru 'L'"
0'6 L., t-\1'~~.} " ' 5()..,..~
LEG~t, D~ l!~~;'~:t:t~e'ClnIY) ",..
.,'l'~ .
,LOT
B!;~t%.
P.t1DI11ON
p.$.
'.').lI""'~";fl~~
',.. 'J',:"
" ..' :~:\rl~~~:+ ' ,............... "
g;=:F. \+ L ~€. .s",.......+ " ,(1'1\0") 9.J/I- ~5;}-()(P36_
_ (~qs!),( .oSCOO-~9-~~.~,~"~~;tf~;:~Q. ~I ,'tYl N '" ' "
APr.r;rC:AN\I'':)-' \ , ..... \ \, . ' /J /
(N.lnol "<::0~'\diO-~=:~~"'1u- ~ ~Cf7f)-;::;q,n<.o
(",,","',-/-1) ~ 11,~_~ f"'" i- ,at:.C.. <-D 'teilt) J..',.'.;;L 1Q:1o"''''tl
(Contaat Ptr!ori) . . ',., 'I" ,'.. . ' ' (~~O'flt:) ,'.
, :::t:iz 9. ,;,: t:.= " - '...:KL A Le.
AP~,SIPI!Wl'li~l'l" " ,.., ~~~,;~;c;~ Pl\.T.E, ,7, - 'f}, ",
~~~i' .' ',,' " ",-, 'i.~'
FURN'A.'C:E'MA.KE;A~trM~ .' I I ~ ""I~~~:r;;.~ .' ,,'~'+- ,.., ,PTtJ..ijJ;.
PU:lE SIZE, . 'RS'rtOOn~~~~ ' , ~JiN~UT tMJrt:PUT
!.l"\.L!.t;d~:E'~~:M. ' ' '~'I~_~~OWBR PL2&Nff '
I' !~~~.,,,~'~)MM ,Lill'.9~al1i:
,,~,;.ul... ' Ic' . ..m...1'D
: ,~~', ,~. ;F,.llt",),.,,,,!r"t\'
'~, ~~~1. ' "I. ,lI~i .' <.' .
jJ~~~=~iNt ," )":'~' :'~\l.. ,'.,., ~;:',: "
FIttEPLA-cE~A~~: Cecrn~~L~~~
l"dU""I,a.m~'I*~I~~ ,,', .'I~.~r"~oUiM' G"~<ll'" )
~'.1s~fifullm. ~
Residentilll. Ht'a~'ilg,k.MC (New.a(h'rS'tl;I;i'~~ ~9"9;.5i> .,' , ' IR;e~tlelltl1J.1 NdliLtlon's'& A:ltlmttiOl1$
RC,!;;dcntllll. Hta.~'flg,Only {No\.y 'Odn's~buq S~'$O' rto~i'1ltll1dll.l. AC'ol'dy
..~,
---
, l'tbEASE NQ':tS:
"'Ir Condltiont:r UnItS
Cannot,:,EDc~olliritQ
~q'li:it~a;side Yard
" Sll'tb Itcks
,~39.S0
.'ii39.50
139.50
Jl.!linl<i'~06'" 9rJW(J B\rlldi"gP<rtl\~ ,H _ \ QA y
"~~~~~i"" ,. i ~~~~PAlDw~0
, ,.~~~~~~ai::, $, . .5 .I>l~G,,~ IT
',,' ro-r~:~~t!'" $~. ~
loma- tlrcOil1y}
. '" ,\ ~~,r ...' .' .-...-,
1'hlg 't\Bpn~rp.~',I8'l!C:Onle) 'jfJ\tr~Dlid;j:f\g .:e~t.tntf;W~~ All~Yljl 'pa'id 1 Receipt N c.
. D,lite
JBY
. ,B~lIdl'ntIO!l1C!ul "
~~ft, .. . '.' .
, 'Uihvtt.r\~~11i:l!~t,~nlYj1t'ii.!tt~lif,t.9:S2r ~1 ~850;:,~ (957.)447 ....2A'5
,t~P;J1'l:~c:,4fr.~~~i6:~~. :P.rlbt.1.;~Jc~I,~ ',ssM 2
TOTAL P.05
08/03/2005 12:04
9524925005
GLOWI~3 HEARTH:/HIGH
PA(3E 01/01
...,,,..'.L'\~,,.Ir.~~lll<t ,~'\ur.,~,.,~,...,.,
~ ~~.jJ'~:,I:~v.~:;tj~~~~~~~ij'>~~i~W~~wt~~~J~n~t,~ .~.i~':..t~ \"~,
i~lTY '(fl~ '
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UE~:r-m~I~,X~IDNi9I1
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;ri~~~~ .:..1'"
~Tn'PPL A~,~~i,iff.\1J1Inl\'i'J~
~jlJ~ . '2~~~~!:fhJYAI:J~'-ly.I.I~.j~v
D'aJt:l'Incc'd
i, :;~,'
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(PJC:t:.N~C"Q~,t>tint o.nd'sl~;a:(b'/i1t1,tf~~t:,: ." ,'. '",,~, .'C"';.~~~l;~~;~
ADDli!ESS 40 a q . H-ffl taB €- ~ Ol\l'e ' lYiI'~LQ \i:.e..
~,,,,'~i. ., ,'. '~', ' , "'''-.''~'i'1\.~~;;~~~~yf:.... .'
. LEGkL DEs5ti~:iI(jt~~~'m~il'~~'eonlY) "... -~~':.;
I. Pink
~,OrMn
" Y\;llow
,';'1"'.. C , z+.
'lit: ' \, ,'.;,' ',~' r I
Oil~i, ,,)i:J.@iWNUT N@,;./_ . 71 .
A~~lI(;f~ni!~i'\'\";"J'n'" V/7"... ~
. .. ,r ~::':'::~~'~:i~~:~~::~ ~2;~'~'.:': .;
zo~mG(Officr.,Ule)
'"'i"".;J'
LOT BJ::.GBK
?LttJ,:pln.0,N
~,)"~",."
PI:m
...;.....10(. ...
OWNER HL r\OYne~ ".c.;."ci,."
O..:rarne) .' ,,,'..'. "..~~,"-- - ' ," '. .,,'dIY'
(Mdt~') ~\JC~~'~~~~~:,;~,ChN~~~~;
A:PPJ;rCAWr'" , .' .........',.''''8-0 ..,. .,..,~ ,pu,.' 4qd.qd~
(Natn;) (r;>\o.ll.)mr..,,8m6t.bJ,.. life ""~;,_,,.(upnt1 _ ... .
U ....'...,..........
(Address) , 100 tto\0J{)c\01)(-t'~ ~ 00{OQIV Mrv 5S35d-
___ 'D6,.'il$'C~,sr" ",. ,. tel!)'}" GZipGo-dlr)
(Contact Person) I \ ~("(\ 5\'1 \'f)'\ et.~" "'" I(PftOfH!:) Y,9 a . q a 1b
APpr~,~~ma'sIGNArCJ:,~Jn"0,.S~;~f'~~f{~..';~'~'" ,:'.,~f\!E, ~~]) (),6
".~- """-'~$ 'f&Ml.lj).. NV' -
"'~~:w:",:""'J;"'.:",.,, '. .,.".,' . \I"."<'~'" I" '':'1. ,'".Il.-=
~~~~' :i~~\bi,; . .,~'$1/' '.') ,~I :' ". ' . ,... ,t~~!J:' .. . l2FJA:L:rERJ\.T:I(:)~g
FURN,;&"CtMkKE;,ANJ'J;Mta:tYBt ..,' 0() OO,::JR.,;Q.A 1( ,'- 'H ,f'ctt t\f rn 1..0 FltJ~t bC\5
FLUE SIZE '\RB"1:11ltN',~~~t$~'" '. ;!iNP.UT m{;]fP:t:>ut
=~=M If.. · :~\'M!!Jl'tlwnR PL<tNTl'bMSE NO:tE,
Q;01~Y,ll~ . . ,E:I~dt'Yl:~t~r " Air Conditioner Units
[;J'~etRm~J~iil:1: . ; '7 (Rlldi~tfoj1 Can1iotBnG-.roachinto
[jAlt:iCZB~U~~~h:irtg ,\:~:j~~fdl~jfrR~f,~,~s _. . R.~gtl'ii'e(f,S ide Yard
DVctlts.*'~t~~i,i~fGJlII~t'iP.i~it'~, , $~tbritks
FlREPLA;'CE N1AKEA:NtI~M'fI}r.mLi' h' ..",,\6e~_'hctQ,~
(Phone)
Qs8.0b3S
Industrial, (2ommettiaJ& Mlil1i'FiimTly ,
Resldelltial, I-fenling,&i\JC (New Cdn:~tr:H:Ilt~i~li)
RC3i dtnti<1l. Heo.ting:Qti lYlN c,w,'Odrrst/'tictibll~,
~t)~i~tttg.Elti:lil,bE
'Ji%'(jr~id~~I:lto~f Rtsl'd em! 1l1;Gas,Fii'e'plac-e
'~S~,SfHiflf(Jfuutj:1
$'~,9..$iJ' . Reside"tjal. Ailditlons& AlttratiO!1S
$64.'50 roesj(.1~ntinl. A'C'ClJ\l)'
$3950
$39.50
$39,50
l1E'A;~tN(:}:.PttRM.r.tFtn $
'.Sf.;\f:EIS:uRCFtARI5;E:, $_
T6t:NL:~F:PiNn1,::;:~'.Ii; $
.-
. \ ~-e!~
\?v. \ \
PAID W~'\
.m.JILDI~ ,MIT
Estim'at!!tt-Cc5St'1b Bilildihg:Pctii1'it#
(omcc'US'c'Oilly)
Tl\is'~p'pl(~lrtf(j;',~eto h'rell'(i.bd;~~~,'l(t:fng:,t'~r~lt~\Viliel1"~l'th:\iY.~iJ
hid
Receipt No.
Date
By
IB)tIIfllri'~iOfliclnl
I!~fe
05/02/2008 09:03
9524925005
GLOWING HEARTH:/HIGH
PAGE 01/01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rt'c'd
~ (:1 .,""11
',11\
~RMri~NC):'~.D~
J 1'1Il~
I i I~
1 ''"l''Jlr'I',
h(II,III.'.JJIl
..Q:.!~"s!:JY~!:.ptint Jnd,ign at 110!!E.Q9_,__
I ADDRESS \ \ /""\ l
I ~(Y-i1. _ ~~\-\o.-<15L .D~Ck::
(\ (j
I.'LEGAL-DESCRIPTION (i,mCC lIs,;'nl1IV) -.'- -.,.~---"'-
I
-.'.-'--.
ZONfNG I"fli"" ,,,")
...--.-.,....-----. -..-.-
_.,._-_..-_._--_.~,...
LOT
BLOCK
ADDITION
PlD
.-.' --.--.... ,..,----'-.'" ...-.-
......------...'
....-----.". '--"-'.' ....--
~,,:,,;:,~~~~-~--'Y;'l rQ "\Z\-i rJh _ "~~~",/'pIJ~7O; ;=/'i 7..6---
\ C n.
l..l:~:idrm) h~oo ~o ~~_s. ~5-~. \'l~" 1..--{XJ.nO-iJ.Y\ 1\) ~s-
".__...._ _....._...__ ..... ..._......._.... ._ ........__._..... .. .__ .. _, ..." ......___.__. ....."._. ..... .,. . ".' ............ '___".0.& .......\ ....-.----.. -.
i~;;~~ANT Gjt1Wi-rf\~--1JEud-Q\~ .._ (Phone) _9S? -tt!1~.-'~~~Z0___-,
(Addrml.J.OO___a&ektcQp) h' ~~.c&~-kL1]JJ _EC)r~.52- -..'-'-
II\ddrc:;~) 1 (City) (ZIp Cock)
_::~:~al:~:;:;G!:;~~ ~;~~..l~l,~n~~;~~~:;;o~ ~"_=:::__
APPLlCA~T PLEASE COMPLETE BELOW
DNEW"(~()NSTR.U(:TION 0 REPLACEMFNT 0 ALTERA T10N'S
FURNACE M;\Kl:: ANT) MODEL _...u,_.....__.,_.. ..,___ ,.__.... ......... .... FUEL
ILUF S17F _____..._... , RLTun.N DPENINGS..,__...._.._._ INPUT _..___._..._..._....._ OCTPt.T ......._,-,.....
TYPE OF SYSTEM
REA TlNG OR POWER PLANT
PLl::;^S~ NOTe: ^Ir Contlilioll('1'
Unit~ nnd Fireplllces Cannol l<:nrro:\ch
into Required Side Yard Scthacl.:\.
Fireplaces witb Box Additions or
Cantile'Versto the Outside orBuildln~s
Requ[re li building Permit.
OW,lrrll ;\11' PI>llll:, 0 SICJI11
O(jl~\'lty 0 Hot WnlcT
~M,ch,1111c:1I 0 R:ldintlon
DAII' Cnl1diliOl1il1jZ 0 Special Device;;
OVel1l SY~ICll1' 0 Other Dcvice~
FIRErL~~~..h.~~~~!L~~[)~!(!~?~I,:,~+~,G \ G. ,",~,.CX:Oq.
I\C'ld~nli:.!I. Hc.ll1ng &; Ale (New Conmtlcl:,.1Iii
R<:'ldcnllol. HCiltl11g Only (New CtJn~lnldl,;1\1
FEE SCHEDULE_,-._........".
1 % of job Ct'SI ~d~ntifll. Ga.; F~pticc---...-
$49,St1 mmimum .-.-....,-----~--..._.--
~ i 49 SO ll..::sidenull.L Additions & Alterations
~(,4 5') RC~ldel1\1aL I\C Only
S49.50
Il1dll,IP;.,I, C01111111;I'C1nl.':: Mtilti.Follllly
HEATING PER!vl1T FEE
STATE SURCHARGE
TOT AL PERMIT FEE
PAID W1TH
Bc>i1d;", p""" # -..lilUtLOlNG p~
~~::.~~J_ ~~ ~
S4~ 50
';,49.50
ESli 11'<l!cd ("JS\ $
IOllie, llH (l,d.,)
Thb Applic:ltioll I3ccomcs Your 13\1i1din!; Permit \Vhcll Approved
f'aid
--,-,'-'P..- ,-.----.--.... ....---
Recclpt Np
DJle
8y
IllJil<lillc om"nl
{lllk
______1_. ........._._..._..___.
. ----.-~
14 1111111' Ill1fil~t' fur 1111 jn~pcctio"s (952) 447.9850. ,.",~ (952) 447.42.J!'i
4c.,~c. O,Ikot-' Street S,E" f'r;llr t"ol(c. Mione,olll 55372
PRIOR LAKE DEPARTMENTSee \fain File
BUII,.DING AND INSPECT ON .
INSPECTION RECORD
SITE ADDRESS 4<Jzf I-IEb U!JJfE i.AI.
NATURE OF WORK SO _
USE OF BUILDING, _ JFI'I
PERMIT NO. o~ DATE ISSUED
CONTRACTOR H~- N;jH~ PHONE 2S2. ~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR I /;rrE /
I FOOTING I /kf I 7'/ .?//o~
, FOUNDATION (Prior to Backfill)47(vI"I, LU~/ ~ ,~~ 06 ~ ~o t}b
PLACE NO CONCRETi: UNTIL ABOVE AS BEEN SIGNED
ROUGH - INS
,',
SEWER/W~TE~/SEPJIC ,. ~ /IfF P~~b
FRAMING)i;'rf./M~ i/(bP7ft6 Iltj- ~ b7~6
INSULATION / . I H4~ 7/{//6J,
ELECTRICAL 7/~A"
PLUMBING w~ { HI' f)?J" I. / _11fJt I b /Z9/;-6 .
HEATING (if required)jIt4/~ J~1/~1 /I4t j?ft~fr,(.,' ~r L~ M*,7/1~'
FIREPLACE" _, . !~ I ~ /~~ $b
GAS LINE AIR TESTIfU/4 f /, Ii, j#//r 6/29 ftb
COVEtR NO WORK UNTIL ~~OVE ~A~ B~EN ~lqNED .
'tJlrH6 ~ HDuS'e~ VIf)J: Jtt? ~/~1ftb IhtA; ~ ~j~J
FINALS
GRADING (Prior to Sodding)
BU~~DING r-t# (Jv\hl to i( ~Oi
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
(/t?
'&./'I/~
I
-
t,NyY 7 ~ YCks
nr' '7 /"~/6)
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850